Sharing RNY info.
March, 2006
To All Post-Gastric Bypass Patients:
This message is for all of patients who have undergone gastric bypass (weight reduction) surgery. It is to inform you that a small percentage of patients who have undergone this type of surgery will develop severe abdominal pain due to internal hernias. This condition is called a Petersen’s hernia and must be treated surgically on an emergency basis.
When patients lose a significant amount of weight, the fatty tissues in the abdomen decrease in size. In some patients, the position of the intestine can shift within the abdomen and become twisted and obstructed.
If you should develop abdominal pain you must seek medical attention immediately. Petersen’s hernia can be successfully treated and full recovery is to be expected. Time is of the essence however. If there is a delay in diagnosis and treatment beyond a few hours, there is the potential for loss of a significant portion of the small intestine and even death.
It is important that you be aware of this condition. If you develop abdominal pain, you must immediately seek medical attention and inform your physician that you have undergone gastric bypass surgery. You should also tell them that you have been informed about the potential for a Petersen’s hernia and wish to be examined by a surgeon on an emergency basis.
While the incidence of this condition is relatively low (less than 5% of patients who have undergone gastric bypass surgery), it is a serious development that must be treated very quickly.
Sincerely,
Elliot R Goodman MD
Beth Israel Center for Obesity Surgery http://www.gastricbypassproblems.org/
This happened to me last year. The pain started in April….to make a long story short, it was thought that my gall bladder was causing all of my pain…as test showed the gall bladder wasn't working at all. I had surgery in July to have the gall bladder removed and that's when they found the herniated twisted bowel. Which was repaired and I've been fine ever since.
If I'm not mistaken this can not be diagnosed with out surgery. There is no way of seeing this with some type of test. I had an endoscope and colonoscopy….NOTHING found…everything looked great! Also if this you're having sever pain…and I mean !!!sever!!!! please let your surgeon know ASAP….especially if you've lost a large amount of weight….This could be what is wrong with you. With me the pain came right after eating…..it would double me over…I have a huge tolerance for pain but this would put in me in a fetal position.
The wonderful Dr. C, fixed me right up and I've not had any other issues since! :-)
Hugs,
Lisa
